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目的:了解农村地区死亡者生前疾病就医诊疗情况,揭示当前农村人群常见疾病就医、诊疗主要去向及基层医疗单位承担疾病救治任务现状。方法:以安徽省8个市县死亡病例生前相关疾病就医诊疗数据,对死亡人群生前疾病就医去向、最高级别诊断单位(医疗机构)及诊断依据进行描述性分析。结果:县级医院及乡镇卫生院承担了当地农村64.89%的死亡者生前危重疾病救治任务;死亡者生前呼吸系统、脑血管、损伤与中毒、消化系统的常见危重疾病就医主要去向是乡镇卫生院,分别占40.2%、31.8%、34.3%、22.5%;未就医的60岁以上老年病例死亡者占未就诊死亡病例总数的66%;一些农村老人常见病未能及时就医,心脑血管疾病、损伤与中毒、以临床症状体征死亡者占未就诊老年病例全部死亡者的88.4%。结论:乡村急需配置优质医疗卫生资源,建立以乡镇卫生院为枢纽、村卫生室为基础的结构合理、设置规范、功能完善的医疗卫生服务网络,并更好地完善农村老年人群危重病、常见病医疗保障体制。
OBJECTIVE: To understand the diagnosis and treatment of the illness of deceased persons in rural areas, to reveal the current medical treatment of common diseases in rural areas, the main destination of diagnosis and treatment and the status quo of the task of disease treatment and treatment undertaken by primary medical units. Methods: Based on the data of medical treatment of prematurity related death cases in 8 cities and counties of Anhui Province, the descriptive analysis was made on the medical treatment of the death before death, the highest level diagnosis unit (medical institution) and diagnosis basis. Results: County-level hospitals and township hospitals assumed 64.89% of the deaths in the rural areas during their lifetime critical illness treatment tasks; the death of the respiratory system, cerebrovascular, injury and poisoning, common and critical diseases of the digestive system, the main destination of medical treatment is the township hospitals , Accounting for 40.2%, 31.8%, 34.3% and 22.5% respectively; 66% of the total deaths of non-doctor aged 60 or over who did not seek medical treatment accounted for 66% of the total number of untreated deaths; some rural elderly were unable to timely seek medical treatment, cardiovascular and cerebrovascular diseases, Damage and poisoning, clinical symptoms and signs accounted for 88.4% of all deaths in untreated elderly cases. Conclusion: It is imperative for rural areas to allocate high-quality medical and health resources urgently and to establish a medical and health service network based on township hospitals as the hub and village clinics, with well-structured, standardized and well-functioning medical and health service networks, and to better improve the critical diseases in the rural elderly population. Medical insurance system.